Most Relevant Information
Provider Data
| NPI Number: | 1003670704 |
| Provider Name: | GLORY EGEDIGWE |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/13/2024 |
| Last Updated: | 02/13/2024 |
Provider Practice Location
6700 BELCREST RD APT 629
HYATTSVILLE
MD
207821349
Practice Location Phone/Fax
| Phone: | 2408700081 |
| Fax: |
Provider Mailing Location
6700 BELCREST RD APT 629
HYATTSVILLE
MD
207821349
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |